Individual
DR. JEFFERY EUGENE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2250 OLD IVY RD, SUITE 3, CHARLOTTESVILLE, VA 22903-4820
(434) 293-8944
(434) 293-6572
Mailing address
2250 OLD IVY RD, SUITE 3, CHARLOTTESVILLE, VA 22903-4820
(434) 293-8944
(434) 293-6572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006146
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0401006146
VA
Other
Enumeration date
05/29/2007
Last updated
05/14/2019
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